<div id="content">
<form name="phpformmailer" action="http://www.tutorialwordpresspemula.com/registrasi/?reg=sh" align="center" method="post">
		  <table width="100%" cellspacing="6">
		    <tr>
		      <td align="right" width="30%"><small>* Nama Lengkap:</small></td>
		      <td width="70%" align="left">
		        <input type="text" size="29" name="nama" value="">
		      </td>
		    </tr>
			<tr>
		      <td align="right" width="30%"><small>* Email:</small></td>
		      <td width="70%" align="left">
		        <input type="text" size="29" name="email" value="">
		      </td>
		    </tr>
		    <tr>
		      <td align="right" width="30%"><small>Username:</small></td>
		      <td width="70%" align="left">
		        <input type="text" size="29" name="username" value="">
		      </td>
		    </tr>
		    <tr>
		      <td align="right" width="30%"><small>Password:</small></td>
		      <td width="70%" align="left">
		        <input type="password" size="29" name="password" value="">
		      </td>
		    </tr>
			<tr>
		      <td width="30%"></td>
		      <td width="70%" align="left">
		        <script language="JavaScript"><!--
				function validateForm() 
				{
				 var okSoFar=true 
				 with (document.phpformmailer)
				 {
				  if (nama.value=="" && okSoFar)
				  {
				    okSoFar=false
				    alert("Masukkan Nama Lengkap Anda")
				    nama.focus()
				  }
				  var foundAt = email.value.indexOf("@",0)
				  if (foundAt < 1 && okSoFar)
				  {
				    okSoFar = false
				    alert ("Silahkan tulis alamat email Anda yang VALID")
				    email.focus()
				  }
				  if (okSoFar==true)  submit();
				 }
				}
				// --></script>
		        <input type="hidden" name="idrefer" value="1">
		        <input type="button" class="button" value="DAFTAR SEKARANG" name="B1" ONCLICK="javascript:validateForm()">
		        <b>* Wajib diisi</b></td>
		    </tr>
		   </table>
		   
		</form></p>
		</div>
